BEUDAMED
    FDA Adverse Event Death Summary report: N

    JOERNS

    MDR report key: 485336 · Received September 22, 2003

    Report

    Report Number
    485336
    Event Type
    Death
    Date Received
    September 22, 2003
    Date of Event
    September 14, 2003
    Report Date
    September 19, 2003
    Manufacturer
    SUNRISE MEDICAL
    Product Code
    FNJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT DISCOVERED SEATED ON FLOOR WITH BACK AGAINST SIDE OF BED. THEIR HEAD WAS BETWEEN MATTRESS AND SIDERAIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JOERNS SIDERAILS-HALF LENGTH FNJ SUNRISE MEDICAL 1401 SERIES *

    Patients

    Seq Age Sex Outcome Treatment
    1 95 YR Death SUNRISE MEDICAL BED, MODEL #B40E HI-LO-HD.